Resident Information
Thanks for taking a moment to update your resident information. This will help us get in touch with you or your loved ones in case of any emergency.
Your Current Space #
Your Name
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Email
example@example.com
Mobile Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Other Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address (if different from home address in the park)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Details (Complete if you own your home)
Type of home
Mobile home (rental)
Mobile home (owned)
Travel trailer
Motor home
Tiny Home
Other
Year of RV/Mobile Home
Length of your RV/home
Do you currently have renter's or owner's insurance?
Yes
No
Is your registration current?
Yes
No
Household Members
Please list all members of your household
*
Pets
*
Do you have pet insurance on your dogs? If so, please indicate company:
Yes...
No
N/A
Pet insurance company:
Is anyone in your household currently on oxygen, or dealing with a serious medical condition or disability? If yes, please explain.
*
Yes...
No
CONFIDENTIAL - Explanation of medical issues:
This information will be kept confidential, but will help us in case of a park emergency.
Do you have a generator that can be used for medical equipment in case of a blackout?
Yes
No
Is anyone in your household currently on probation or in any legal jeopardy? If yes, please explain below.
*
Yes...
No
CONFIDENTIAL - Explanation of legal issues:
This information will be kept confidential, but will help us in case of a park emergency. Thanks in advance for your honesty!
Vehicle Info
Please list all vehicles
*
Emergency Contacts (Not in your household)
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Current Employer
Company Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Info
Do you have plans to move any time soon?
No
Yes, within 6 months
Yes, within 12 months
Other (please explain)
Anything else we should know?
Submit
Should be Empty: